Individual provider Active NPI

Grace Okhuereigbe

  • Family Nurse Practitioner
  • College Park, MD
National Provider Identifier
1083169585
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
178662 Issued in MD
Practice address
7100 Baltimore Ave Ste 510
College Park, MD 20740-3641
Phone
(301) 875-5511
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 178662 MD Primary

Addresses

Primary practice location

7100 Baltimore Ave Ste 510
College Park, MD 20740-3641

Mailing address

7100 Baltimore Ave Ste 510
College Park, MD 20740-3641
Phone (301) 875-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170530001912 MD Practitioner - Nurse Practitioner 7113294851
I20170530002028 DC Practitioner - Nurse Practitioner 7113294851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
178662MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Unity Health Care Inc. CurrentSince Jul 22, 2024 Accepting new patients
Mbi Health Services LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1083169585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 BALTIMORE AVE STE 510",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403641",
            "telephone_number": "301-875-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 BALTIMORE AVE STE 510",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403641",
            "telephone_number": "301-875-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKHUEREIGBE",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "178662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

Verify at the official NPI Registry.